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NURS-6512N-14-Advanced Health Assessment-Summer- QTR-Term-wks-1-thru-11

Exam – Week 11

1. Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:
2. One of the most important aspects to consider in the orthopedic screening examination is:
3. When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign.
4. The reliability of health-related findings and observations is the responsibility of the:
5. The finger-to-nose test allows the assessment of:
6. In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
7. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
8. An idiopathic spasm of arterioles in the digits is termed:
9. A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
10. Assessing orientation to person, place, and time helps determine:
11. A pulsation that is diminished to the point of being barely palpable would be graded as:
12. Normal changes of the aging brain include:
13. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
14. A positive straight leg raise test usually indicates:
15. A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog. What is the most likely diagnosis of this patient?
16. Which one of the following is a proper technique for use of a speculum during a vaginal examination?
17. An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
18. When palpating joints, crepitus may occur when:
19. The adnexa of the uterus are composed of the:
20. Temporalis and masseter muscles are evaluated by:
21. The strength of the trapezius muscle is evaluated by having the patient:
22. Bimanual examination of the uterus includes:
23. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:
24. At your first meeting with a patient, it is usually best to say:
25. A cervical polyp usually appears as a:
26. Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regard to Adrian’s current problem?
27. The Denver II is a tool used to determine:
28. An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection?
29. An apical PMI palpated beyond the left fifth intercostal space may indicate:
30. You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:
31. If pitting edema is unilateral, you would suspect occlusion of a:
32. To hear diastolic heart sounds, you should ask patients to:
33. You are reviewing an ECG of a 43-year-old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval increases with each beat until a QRS is dropped. What is this type of block called?
34. Diabetic peripheral neuropathy will likely produce:
35. Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings.
36. When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:
37. Tarry black stool should make you suspect:
38. Palpation of epitrochlear nodes is part of the:
39. The Mini-Mental State Examination should be administered for the patient who:
40. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
41. During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern  about  these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:
42. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
43. Facial muscle or tongue weakness may result in:
44. The Mini-Mental State Examination:
45. Which one of the following techniques is used to detect a torn meniscus?
46. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
47. When is the mental status portion of the neurologic system examination performed?
48. Which of the following statements is true regarding the examination of peripheral arteries?
49. The physical assessment technique most frequently used to assess joint symmetry is:
50. A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?
51. You are assessing Mr. Z.’s fluid volume status as a result of heart failure. If your finger depresses a patient’s edematous ankle to a depth of 6 mm, you should record this pitting as:
52. Throughout the history and physical examination, the clinician should:
53. Montgomery tubercles are most prominent in the breasts of:
54. During chest assessment, you note the patient’s voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e’s sound like a s. This sound is indicative of:
55. While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s wort. You make a short note to check for results of the:
56. You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?
57. You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:
58. The musculoskeletal examination should begin when:
59. Breath sounds normally heard over the trachea are called:
60. Loss of immediate and recent memory with retention of remote memory suggests:
61. In the adult, the apical impulse should be most visible when the patient is in what position?
62. You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with:
63. You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient’s neurologic status, you would:
64. Nerves that arise from the brain rather than the spinal cord are called:
65. The goals of preparticipation sports evaluation include:
66. You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:
67. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
68. A patient in the deepest coma would be scored a on the Glasgow Coma Scale.
69. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
70. Cranial nerve XII may be assessed in an infant by:
71. A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column. What is the most likely diagnosis for this patient?
72. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
73. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of “heart trouble.” The most important follow-up question you should pose is which of the following?
74. The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg.
75. The examiner percusses for diaphragmatic excursion along the:
76. A common finding in markedly obese and pregnant women is:
77. It is especially important to test for ankle clonus if:
78. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
79. For purposes of examination and communication of physical findings, the breast is divided into:
80. Anterior cruciate ligament integrity is assessed via the test.
81. Examination of the patient in the lithotomy, or knee-chest, position includes:
82. Which portion of the physical examination is best done with the patient standing?
83. A finding that is indicative of osteoarthritis is:
84. Functional assessment is most important during the examination of a(n):
85. You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:
86. A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results show consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis?
87. Kawasaki disease is suspected when assessments of a child reveal:
88. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
89. The foramen ovale should close:
90. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
91. Which condition is considered progressive rather than reversible?
92. Palpation of a normal prostate in an older adult is likely to feel:
93. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
94. A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
95. You order an ECG on a patient that c/o feeling heart palpitations, chest pain, and shortness of breath. Your ECG shows an irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing?
96. The rectal past medical history of all patients should include inquiry about:
97. A grade IV mitral regurgitation murmur would:
98. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
99. Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:
100. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: